Patient Details - M De Jager

Basic Information

ID Number: 1110145394082

Name: M De Jager

Date of Birth: 14 October 2011

Gender: Male

Account Number: DAD3719

Account Name: Ms Michelle Williams

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 081 749 0801

Cell:

Email: nwa6378@gmail.com

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

1214557

Main Member Name

Main Member ID

Option Name

Emerald Dentistry

Dependent Number

Medical History

Allergies

None recorded

Current Medications

None recorded

Existing Conditions

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Previous Medical Treatments

None recorded

Examination History

New Examination

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Appointment History

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